Fusion of spine, cervicothoracic region
ICD-10 M43.23 is a billable code used to indicate a diagnosis of fusion of spine, cervicothoracic region.
Fusion of the cervicothoracic spine is a surgical procedure aimed at stabilizing the cervical and upper thoracic vertebrae to correct deformities such as scoliosis, kyphosis, or lordosis. These spinal deformities can lead to significant pain, neurological deficits, and impaired function. The procedure involves the use of bone grafts and instrumentation to promote fusion between vertebrae, thereby preventing motion at the affected segments. Indications for this surgery include severe deformities that do not respond to conservative treatments, trauma, or degenerative diseases affecting the spine. Post-operative care is crucial for recovery, and patients may require physical therapy to regain strength and mobility. The complexity of this procedure arises from the anatomical challenges of the cervicothoracic region, the potential for complications, and the need for precise surgical technique to ensure successful outcomes.
Detailed operative reports, imaging studies, and pre-operative evaluations.
Patients with severe scoliosis or kyphosis requiring surgical intervention.
Ensure accurate documentation of the surgical approach and any intraoperative findings.
Comprehensive neurological assessments and detailed operative notes.
Patients with neurological deficits due to spinal deformities.
Document any neurological assessments pre- and post-surgery to support the necessity of the procedure.
Used in conjunction with M43.23 for anterior cervicothoracic fusion.
Operative report detailing the approach and levels fused.
Orthopedic surgeons must document the rationale for the surgical approach.
M43.23 is indicated for patients with severe spinal deformities such as scoliosis or kyphosis that require surgical intervention after conservative treatments have failed.
Document the surgical approach, levels fused, and any intraoperative findings in the operative report to support the use of M43.23.
